Baldness - What Triggers and What Treatment?

Baldness includes the state of lacking hair where it often grows, especially on the head. The most common kind of baldness is a progressive hair thinning condition called androgenic alopecia or ‘male pattern baldness’ that happens in adult male humans and other species.

The quantity and patterns of baldness can differ significantly; it varies from male and female pattern alopecia, alopecia areata, which includes the loss of some of the hair from the head, and alopecia totalis, which includes the loss of all head hair, to the most severe form, Alopecia Universalis, which includes the loss of all hair from the head and the body.


Many guys are genetically predisposed to male pattern baldness. It is the result of hormones on the hair roots that produce male pattern baldness. Testosterone, a hormonal agent that is present in high levels in males after puberty, is converted to dihydrotestosterone (DHT) by an enzyme called 5-alpha reductase. DHT has an unfavorable result on hair follicles. Acting on a hormone receptor on the hair roots it decreases hair production and produces weak, shorter hair, in some cases it stops hair development from the roots totally. This process slowly depletes your stock of hair and is normal hair loss.

In general, most hair loss is not associated with systemic or internal disease, nor is poor diet a frequent aspect. Thyroid disease can cause loss of hair, but thyroid tests on individuals who have an ordinary loss of hair are typically regular. Although lots of medications list “hair loss” amongst their potential side effects, drugs are likewise not general typical causes of thinning or lost hair. On the other hand, with cancer treatments and immune suppression medications, hair loss is not uncommon.

One beneficial way to classify the loss of hair is by whether the loss is localized and patchy, or whether it impacts large locations or the whole scalp.



To become gradually bald is a regular part of the aging procedure for the majority of men. No treatment is desired or needed by many affected men. For some guys, baldness can be distressing, especially if it is excessive or takes place early in life. Treatment might then help.


Presently, there are 2 medicines that assist – finasteride and minoxidil. Neither is offered on the NHS, so you require to pay the full price for them.

It works by obstructing the conversion of testosterone to dihydrotestosterone. The hair follicles are then not affected by this hormonal agent and can expand back to typical.

Some hair re-growth happens in about 2 in 3 males who take a finasteride tablet every day. In about 1 in 3 men there is no hair re-growth however, the majority of do not have any additional loss of hair whilst taking finasteride. It has no result on about 1 in 100 guys. So, if you take finasteride, you have a likelihood that hair will re-grow, or at least stop any further hair loss. Some points about finasteride include the following.

  • It takes about 4 months for any effect to be discovered, and approximately 1-2 years for complete hair growth.
  • The baldness process returns if treatment is stopped Therefore, if effective, you require to continue treatment to keep the impact.
  • Side-effects are unusual. The most common is that about 2 in 100 dealt with males report loss of libido (libido).
  • It does not work in women with male pattern baldness.
  • It is costly, costing around ₤ 30 monthly (December 2003). You require a private prescription to get it from a drug store.

Minoxidil lotion is a rub-on treatment that you can buy at drug stores without a prescription. It is not clear how it works. The greater strength service (5%) is more reliable than the 2% strength.

There is debate as to how effective it is. Probably about half of the men who use minoxidil delay further balding. About 15 in 100 users have good hair re-growth. There is continued hair loss in about a third of users. However, some reports claim much higher success rates. It seems that it is best used to prevent further hair loss, but hair re-growth occurs in some users. Some points about minoxidil include the following.

  • It needs to be rubbed on the scalp every day.
  • It usually takes 4 months or more for any effect to be noticed.
  • Treatment needs to be continued indefinitely. Any new hair that does re-grow falls out two months after treatment is stopped.
  • It is quite expensive.
  • It may work in some women who have male pattern baldness.
  • Side-effects are uncommon. For example, skin irritation or a rash sometimes occurs.


A wig is a traditional option for baldness.

Scalp surgery

Techniques such as hair transplantation, scalp flaps Psychology Articles, and other procedures have been used for a number of years. Success rates vary and a specialist opinion is needed if surgery is considered. It is expensive and not available on the NHS.